NPI | 1356733885 |
---|---|
Former Name | ALYSSA CRIVELLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0993982-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1631061) |
363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993982-NP) | |
Enumeration Date | 2015-02-20 |
Last Update Date | 2019-10-30 |